Individual provider · Type 1 NPI

Agustin Rivera, M.D; MC; CLERGY

Mental Health Counselor · Orlando, FL

NPI number 1508226101 Active

Practice location

115 E Lancaster Rd
Orlando, FL 32809-6689

Call (863) 582-9899 Map

Mailing address

17906 Woodcrest Way
Clermont, FL 34714-5906

Other practice locations

  • 115 Lake Davenport Blvd Ste C, Davenport, FL 33897-9405 · (863) 420-9899

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600X1702-002 (FL)
Marriage & Family Therapist 106H00000X557 (PR)
Mental Health Counselor Primary 101YM0800XPHM 1453 (FL)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1508226101

Agustin Rivera, M.D; MC; CLERGY's National Provider Identifier is 1508226101, issued on Feb 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Apr 2, 2019.